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KENNETH JAMES BENJAMIN MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1245344928

Individual Registrant:
 KENNETH JAMES BENJAMIN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
902 N 7TH ST  CORDELE, GA 31015-3234 US
Tel: 229-276-3325  Fax: --

Contact information for business:
307 E 3RD AVE  CORDELE, GA 31015-3208 US
Tel: 229-271-4656  Fax: 229-271-4654

Registration Information:
NPI: 1245344928
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA042527

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000725359BGA05




HEALTH CARE JOBS GA - Page 1



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